A 55-year-old male with history of colon cancer, hydronephrosis, and right ureteral stent placed 10 weeks ago presents to ED with intermittent hematuria that has become more frequent over the last 3 days. He denies dysuria, fever, abdominal pain, or flank pain. His vital signs include BP 98/64, HR 9...
A 27-year-old woman with a history of obesity and diabetes presents to the emergency department for lesions on her axilla. The patient states that she has noticed these lesions for the past two years and assumed they were abscesses. The lesions have been tender, itchy, and with malodorous drainage. ...
A 37-year-old G2P2 female presents to the ED with a 2-day history of intermittent fever and foul-smelling vaginal discharge. She was discharged 3 days prior after a cesarean delivery to a single, full term, live born infant complicated by premature rupture of membranes. She notes associated chills a...
A 37-year-old G5P4 at 33 weeks presents to the ED after being brought in by ambulance. She had a precipitous delivery while the ambulance was pulling in. The newborn is doing well, but the mother is complaining of shortness of breath and chest pain. VS include BP 88/45, HR 121, T 97.1, RR 28, SpO2 8...
A 27-year-old male presents to the ED for left eye pain after being hit in the face with a spare car part while working under the hood of his car. He states his vision is slightly blurred, and he is experiencing significant pain. Physical exam reveals conjunctival injection, a red rim circumscribing his iris, and photophobia. What is the diagnosis, and how do we manage it from the ED?
A 70-year-old female with past medical history diabetes mellitus, hypertension, hyperlipidemia, dementia presents from nursing home with acute unilateral swelling along the left side of her face. She is breathing comfortably but seems to experience significant pain at the associated site of swelling...
A 74-year-old female presents to the ED via EMS for altered mental status and episodes of apnea. Vital signs include BP 168/89, HR 96, T 98.3, RR 3, SpO2 95% on 15L non-rebreather mask. Symptoms started acutely about 15 minutes prior to arrival. On exam, the patient opens eyes to voice, has extraocu...
A 68-year-old male with a history of poorly controlled diabetes presents to the ED with increasing right-sided ear and facial pain, swelling, and difficulty hearing for two weeks. He says the pain is worse at night and when he is chewing. Today, he noticed his right face looked swollen and he had ...
